抄録
A 90-year-old man was admitted to our hospital in March of 2000 because of the difficulty of oral ingestion. He underwent distal gastrectomy with the reconstruction of Billroth I method due to the gastric cancer in 1994. Gastrointestinal endoscopy showed the stenosis due to the cancerous recurrence at the oral side of anastomosis, in which the endoscope could not be passed through it. Pathological specimen showed the poorly differentiated adenocarcinoma. Instead of reoperation, the stent (Ultra-Flex®, 10cm in length) was placed because the patient was too old and his general condition was also poor. Concerning on the technique of stent placement, endoscope was first inserted with leaving the delivery system in the stomach, because it could not be passed through the stenosis due to bending. Then, the delivery system was grasped with the forceps and was endoscopically placed in the stenosis. After the stent placement, the patient could ingest the rice gruel and leave the hospital.
The stent placement for the pyloric or duodenal stenosis is relatively difficult. Our technique is thought to be one of the useful methods for these diseases.
